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Nirvoy
Healthcare Pharmaceuticals Ltd.
Generic: Levonorgestrel
Safety Advices
বাংলা
English
CONSULT YOUR DOCTOR
It is not known whether it is safe to consume alcohol with Nirvoy. Please consult your doctor.
UNSAFE
Nirvoy is highly unsafe to use during pregnancy. Seek your doctor's advice as studies on pregnant women and animals have shown significant harmful effects to the developing baby.
SAFE IF PRESCRIBED
Nirvoy is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby.
Nonhormonal contraceptives is preferred in breastfeeding women, especially during the first 4 weeks postpartum
CONSULT YOUR DOCTOR
It is not known whether Nirvoy alters the ability to drive. Do not drive if you experience any symptoms that affect your ability to concentrate and react.
CONSULT YOUR DOCTOR
There is limited information available on the use of Nirvoy in patients with kidney disease. Please consult your doctor.
CONSULT YOUR DOCTOR
There is limited information available on the use of Nirvoy in patients with liver disease. Please consult your doctor.
Medicine Overview of Nirvoy 1.5mg Tablet
Introduction
Nirvoy is an emergency birth control pill. It provides a safe and effective way to prevent an unintended pregnancy after unprotected sex or contraceptive failure. However, it should not be used as regular contraception. It works to prevent pregnancy by temporarily stopping the release of an egg from the ovary or by preventing fertilization (union) of the egg by sperm. It comes as a single dose and can be taken with or without food. Taking this single dose of Nirvoy can provide effective results if taken within 72 hours of unprotected sex. The most common side effects of this medicine...
... Show moreUses of Nirvoy
- Emergency contraception
Side effects of Nirvoy
Common
- Anxiety
- Bloating
- Depression
- Edema (swelling)
- Irritation
- Muscle pain
How to use Nirvoy
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Nirvoy may be taken with or without food, but it is better to take it at a fixed time.
How Nirvoy works
Nirvoy is a progestin (female hormones). It works to prevent pregnancy by temporarily stopping the release of an egg from the ovary, or preventing fertilization (union) of the egg by sperm. It may also alter the lining of the uterus (womb) to stop a fertilized egg from attaching to the uterus.
Quick Tips
- Nirvoy is a single tablet and you only have to take 1 dose for it to work.
- Take it as soon as possible, preferably within 12 hours and not later than 72 hours (3 days) of having unprotected sex or contraceptive failure.
- Notify your doctor if you vomit within 2-3 hours of taking this medicine.
- It is not as effective as regular methods of contraception and should be used only as an emergency measure.
- Take a pregnancy test about a week after you take Nirvoy as there is a 5-10% chance that it may not have worked.
Brief Description
Indication
Contraception, Emergency contraception, Menopausal hormone replacement therapy, Menorrhagia,
Administration
May be taken with or without food.
Adult Dose
Oral
Emergency contraception
Adult: 1.5 mg as soon as possible or within 72 hr of coitus.
Alternatively, 750 mcg as soon as possible or within 72 hr of coitus followed by a 2nd dose 12 hr later.
Most effective if taken as soon as possible after unprotected intercourse
Menopausal hormone replacement therapy
Adult: As progestogenic component: 75-250 mcg for 10-12 days of a 28-day cycle.
Contraception
Adult: Monotherapy: 30 or 37.5 mcg daily.
Contraindication
Pregnancy, undiagnosed vaginal bleeding, severe arterial disease; liver adenoma, porphyria; after recent evacuation of hydatidiform mole; history of breast cancer; hepatic impairment.
Mode of Action
Levonorgestrel, a nortestosterone derivative, is an active isomer of norgestrel. It is a potent inhibitor of ovulation and has androgenic activity.
Precaution
Sex-steroid dependent cancer, past ectopic pregnancy, malabsorption syndromes, functional ovarian cysts, active liver disease, recurrent cholestatic jaundice, history of jaundice in pregnancy, CV or renal impairment, DM, asthma, epilepsy, migraine, conditions aggravated by fluid retention, depression and thromboembolism (high doses); lactation.
Side Effect
>10%
Headache (12%),Acne (15%),Ovarian cysts (13%),Enlarged follicles (12%),Amenorrhea (1-12%),Abdominal pain (12%),Uterine/vaginal bleeding alterations (52%),Intermenstrual bleeding/spotting (23%),Vulvovaginitis (20%),Ectopic pregnancy (≤50%)
1-10%
Depression (4%),Migraine (2%),Alopecia (1%),Dysmenorrhea (9%),Menorrhagia (6%),Breast tenderness (3-9%),Pelvic pain (6%),Leukorrhea (5%),Vaginal discharge (4%),Pelvic infection (1%)
<1%
Angioedema,Cervical perforation,Failed insertion,Sepsis,Uterine bleeding,Device breakage
Potentially Fatal: Thrombocytopenia, stroke.
Interaction
Reduced efficacy with enzyme-inducing drugs; aminoglutethimide. May inhibit ciclosporin metabolism.
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